Individual provider Active NPI

Eric Eugene Borofsky, MD

  • Orthopaedic Surgery Physician
  • Fort Mohave, AZ
National Provider Identifier
1376518746
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
EB042101 Issued in MI
Practice address
5300 S Highway 95
Suite D
Fort Mohave, AZ 86426-9251
Phone
(928) 788-3609
Fax
(928) 788-3607
NPI assigned
Feb 21, 2006
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X EB042101 MI Primary

Addresses

Primary practice location

5300 S Highway 95
Suite D
Fort Mohave, AZ 86426-9251

Mailing address

5300 S Highway 95
Suite D
Fort Mohave, AZ 86426-9251
Phone (928) 788-3609

Other identifiers 7

IdentifierTypeStateIssuer
1438577OtherFLAETNA
425210MedicaidAZ
4373307OtherFLAETNA
0714609003OtherFLCIGNA
56539OtherFLBLUE CROSS BLUE SHIELD FL
276061400MedicaidFL
366974OtherFLWELLCARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
EB042101MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Institute of Michigan PLLC Orthopaedic Surgery CurrentSince Nov 24, 2004 Accepting new patients
Orthopedic Institute of Michigan PLLC Current Accepting new patients

Locations

39000 7 Mile Rd
Livonia, MI 48152
Phone (734) 464-0400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2835/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1376518746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 S HIGHWAY 95",
            "address_2": "SUITE D",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-788-3609",
            "fax_number": "928-788-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 S HIGHWAY 95",
            "address_2": "SUITE D",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864269251",
            "telephone_number": "928-788-3609",
            "fax_number": "928-788-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROFSKY",
        "first_name": "ERIC",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "EB042101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1438577",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425210",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4373307",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0714609003",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "56539",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276061400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "366974",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.